| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.20 | $454.20 | $8,500.00 | |
Aetna
| Professional | $442.06 | $454.20 | $609.26 | |
Cigna
| Professional | $610.69 | $1,129.67 | $1,618.35 | |
Medica
| Facility | $454.20 | $611.75 | $1,362.60 | |
Medica
| Professional | $468.34 | $892.01 | $1,846.08 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $319.07 | $773.02 | $1,083.82 |